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MS. SHELLY LYNN EAGEN NP
NPI 1144377631
Nurse Practitioner - Pediatrics in Madison, WI

Active since January 05, 2007
600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6420(608) 263-0440 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Shelly Lynn Eagen Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHELLY LYNN EAGEN NP (NPI 1144377631) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (4446-33) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1144377631
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. SHELLY LYNN EAGENCredential: NP
Location Address600 HIGHLAND AVEMadison, WI 53792-0001
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · (608) 829-5485
Phone(608) 263-6420
Fax(608) 263-0440
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateNovember 4, 2015
✔ NPI 1144377631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WI · 4446-33
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 144314-030 (WI)
600 HIGHLAND AVE, Madison, WI 53792
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Other Names 1

Former Name (1)Shelly Lynn Dieckhoff

Other Identifiers 1

Medicaid38352100WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON ALAN CHRISTENSEN PHARMD
Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Dane County (608) 662-0817
LAURA JEAN KOPPLIN MD, PHD
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6070
HAGGI MAZEH MD
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 265-8072
DR. SWAPNIL SUNIL LANJEWAR M.D.
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-0946
DR. MATTHEW JAMES HOYT M.D.
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
VANESSA MERCEDES WELTEN MD MPH
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (617) 732-5500
JOHN HENRY NORMAN HARRISON
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
PIPPA FROUKTE COSPER MD
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Eagen's NPI number?

The NPI number for Shelly Eagen is 1144377631. It was assigned to this individual provider in the NPPES registry on January 5, 2007. The provider is also known as Shelly Lynn Dieckhoff.

Where is Shelly Eagen located?

Shelly Eagen practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6420.

What is Shelly Eagen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Shelly Eagen was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.